Organization
NORWOOD, LASSITER AND ASSOCIATES
Active
Other names
Norwood Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID LASSITER SR. DDS (OWNER)
(704) 474-3152
Entity
Organization
Contact information
Practice address
311 SOUTH MAIN STREET, NORWOOD, NC 28128
(704) 474-3152
(704) 474-0274
Mailing address
PO BOX 859, 311 SOUTH MAIN STREET, NORWOOD, NC 28128
(704) 474-3152
(704) 474-0274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995126
—
NC
05
—
8996468
—
NC
Enumeration date
04/02/2008
Last updated
04/02/2008
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